Abstract:
BACKGROUND:Adults tend to underestimate their personal risk of disease, but little is known about parents' perceptions of children's risk. METHODS:In total, 648 parents of children 0 to 18 years old attending 2 pediatric practices were surveyed about their children's exposure to smoking; 344 parents with children ≥2 years old also were asked about their children's sugar-sweetened beverage (SSB) consumption and physical activity. Children were categorized as "at risk" or "not at risk" for each factor. Parents estimated the risk of their child becoming a smoker or gaining excessive weight and were categorized as "optimistic" if they believed their children were less likely than others to use tobacco or gain weight. RESULTS:Overall, 92% of parents thought their children were at lower risk than average for tobacco use, and 86% believed their children were at lower risk for excessive weight gain. A high frequency of optimistic bias occurred even among parents with "at-risk" children, including parents with children exposed to tobacco use (70.4%), SSB consumption (77.6%), >2 hours of screen time (82.1%), and low physical activity (84.1%). In multivariable analyses, parents with children exposed to tobacco smoke (odds ratio = 0.21, 95% confidence interval, 0.09-0.51); or who consumed SSBs daily (odds ratio = 0.44, 95% confidence interval 0.20-0.97) were less likely to be optimistic about their child's future tobacco use and excessive weight gain, respectively. CONCLUSIONS:Most parents believed their children were at lower risk than average for tobacco use or excessive weight gain. Eliciting parents' optimistic biases might facilitate behavior change counseling in pediatric settings.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Drouin O,Winickoff JP,Thorndike ANdoi
10.1016/j.acap.2018.09.008subject
Has Abstractpub_date
2019-01-01 00:00:00pages
90-96issue
1eissn
1876-2859issn
1876-2867pii
S1876-2859(18)30625-9journal_volume
19pub_type
杂志文章abstract::In response to the COVID-19 pandemic, the medical education community was forced to transition to the virtual space seemingly overnight, with little time to prepare. As such, many medical educators are actively seeking ways to improve delivery of online content and utilize features of different technologies. This View...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.11.009
更新日期:2021-01-01 00:00:00
abstract::Tobacco use is the leading cause of preventable death in the United States, and exposure to tobacco smoke harms children from conception forward. There is no safe level of tobacco exposure. Although overall smoking rates have declined, the advent of new products, such as electronic cigarettes, threatens to perpetuate ...
journal_title:Academic pediatrics
pub_type: 杂志文章,评审
doi:10.1016/j.acap.2016.12.010
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abstract:OBJECTIVE:To develop and validate a computable phenotype algorithm for identifying patient populations with sickle cell disease. METHODS:In this retrospective study we used electronic health record data from the Children's Hospital of Wisconsin to develop a computable phenotype algorithm for sickle cell disease. The a...
journal_title:Academic pediatrics
pub_type: 杂志文章
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2010.10.003
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2014.08.006
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journal_title:Academic pediatrics
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2013.09.003
更新日期:2014-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2009.09.002
更新日期:2009-11-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
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journal_title:Academic pediatrics
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journal_title:Academic pediatrics
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doi:10.1016/j.acap.2017.11.010
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2016.02.013
更新日期:2016-05-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章,评审
doi:10.1016/j.acap.2020.07.005
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To understand why families enroll in and disenroll from Children's Health Insurance Program (CHIP), their experience with the CHIP application and renewal process, and the insurance coverage of their children after disenrolling. METHODS:We conducted a large household telephone survey in 2012 of CHIP enrollee...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.02.013
更新日期:2015-05-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章,评审
doi:10.1016/j.acap.2013.04.014
更新日期:2013-11-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1016/j.acap.2008.10.004
更新日期:2009-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2019.11.017
更新日期:2020-08-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.08.003
更新日期:2020-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2017.11.005
更新日期:2018-08-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
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journal_title:Academic pediatrics
pub_type: 杂志文章
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.04.009
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pub_type: 杂志文章
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更新日期:2016-08-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2016.09.005
更新日期:2017-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2017.08.001
更新日期:2018-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.09.012
更新日期:2020-09-30 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.06.005
更新日期:2015-09-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2013.01.007
更新日期:2013-03-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.02.023
更新日期:2020-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2011.05.001
更新日期:2011-09-01 00:00:00